Amanda Brunette
Individual provider Active NPI Clinical Psychologist · Fairway, KS
NPI 1770197790 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1770197790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 02892 (KS)
- Practice address
- 4330 Shawnee Mission Pkwy Ste 2180
Fairway, KS 66205-2522 - Phone
- (913) 588-6973
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians Inc
Practice addresses (Care Compare)
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
Hospital & facility affiliations
- University of Kansas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201124002784 | KS | Practitioner - Clinical Psychologist | 8224449178 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02892 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| University of Kansas Hospital Authority | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| University of Kansas Hospital Authority | Past |
Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111
Interoperability endpoints
- abrunette659928@direct.kuha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 02892 | KS | Yes |
| Clinical Neuropsychologist | 103G00000X |
Addresses
Primary practice location
4330 Shawnee Mission Pkwy Ste 2180
Fairway, KS 66205-2522
Mailing address
6201 Johnson Dr Apt 506
Mission, KS 66202-3483
Phone (630) 301-8901
Other providers in Fairway, KS
- Blair Ginn Bienasz
- Kelly Blickhan
- Arlin Bohn
- Elizabeth Breedlove
- Sarah Brent
- Mark A Bunde
- Annette Carroll
- Carrie Dial
- Mary Frances Donnelly
- Heather Drake
All providers in Fairway, KS · Clinical Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.